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祝之友论中医同药异效

A discussion on the concept of same medicine,different effects in traditional Chinese medicine by Zhu Zhiyou
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摘要 中医学的两大重要支柱,医和药,医则其道,药则其术。文章论述了祝之友教授的中医同药异效观点并分享其用药经验:特殊剂量、特殊调配、特殊配伍,均对疗效产生重要影响;中药临床效用表现精细且多变,同基原不同入药部位,疗效不同;同基原同部位不同采收时间、炮制方法,功效不同;不同基原临床疗效却表现一致;中医临床工作者应掌握并灵活运用。 The two important pillars of traditional Chinese medicine(TCM)are medicine and treatment,with the former being the art and the latter being the technique.This review discusses Professor Zhu Zhiyou's viewpoint on the'same medicine,different effects'in TCM and shares his medication experience:special dosages,special preparations,and special combinations significantly impact efficacy;the clinical effects of Chinese herbs are delicate and variable.The efficacy differs when the same origin is used in different parts of the plant,at different harvest times,or with different processing methods.Clinical efficacy can also be consistent among different origins.Clinical workers in TCM should master and flexibly apply these principles.
作者 王强 杨洪学 吴强 杜垚森 税川洋 杨果 陈飞 刘铭 WANG Qiang;YANG Hongxue;WU Qiang;DU Yaosen;SHUI Chuanyang;YANG Guo;CHEN Fei;LIU Ming(Shuangliu District Traditional Chinese Medicine Hospital,Chengdu 610200,China;Qingyang District Traditional Chinese Medicine Hospital,Chengdu 610031,China;Shuangliu District Maternal and Child Health Hospital,Chengdu 610200,China;Chengdu First People's Hospital,Chengdu 610499,China)
出处 《四川中医》 2025年第7期30-33,共4页 Journal of Sichuan of Traditional Chinese Medicine
关键词 祝之友 论述 中药 同药异效 Zhu Zhiyou Discussion Chinese medicine Same medicine,different effect
作者简介 第一作者:王强,博士,副主任医师,研究方向:从事中医药调节体质研究,E-mail:397242811@qq.com;通讯作者:刘铭,E-mail:493489720@qq.com。
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